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Comparison Between Continuous Buried Suture and Interrupted Buried Suture Methods for Double Eyelid Blepharoplasty
Ji Sun Baek1, Jung Hyo Ahn, Sun Young Jang
1*Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul †Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Pusan ‡Department of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea §Singapore National Eye Centre, Third Hospital Ave, Singapore.
The continuous buried suture method for double eyelid surgery in Koreans resulted in fewer lost double folds and complications compared to the interrupted method.
Area of Science:
- Oculoplastic surgery
- Asian blepharoplasty techniques
Background:
- Double eyelid surgery, or blepharoplasty, is a common cosmetic procedure in East Asian populations.
- Buried suture techniques are widely used for creating the supratarsal crease.
Purpose of the Study:
- To compare the surgical outcomes of interrupted versus continuous buried suture methods in Korean patients undergoing double eyelid blepharoplasty.
- To evaluate the efficacy and complication rates of each suture technique.
Main Methods:
- Retrospective review of 204 Korean patients (392 eyes) who underwent double eyelid surgery using buried suture techniques.
- Patients were categorized into two groups: interrupted buried suture (88 patients) and continuous buried suture (116 patients).
- Follow-up duration was at least 3 months.
Main Results:
- The rate of double fold loss was significantly lower in the continuous group (8.6%) compared to the interrupted group (19.3%) (P=0.026).
- Complication rates, including suture knot exposure and granuloma formation, were lower in the continuous group.
- Specifically, 1 patient in the continuous group experienced suture knot exposure, while 5 patients in the interrupted group did, with one also developing a granuloma (P=0.021).
Conclusions:
- The continuous buried suture method demonstrates superior outcomes for double fold formation in Korean patients.
- This technique offers a reduced risk of double fold loss and fewer complications compared to the interrupted buried suture method.
- The findings suggest the continuous method as a preferred approach for blepharoplasty in this demographic.
